摘要
目的:观察单纯应用针灸人迎、水突穴,加用中药1和2号口服、实施星状神经节阻滞,以及3种方法并用对脑损伤、脑震荡及血管神经性顽固性头痛治疗的效果及复发率的影响。方法:纳入大连市中心医院1992-09/2004-12收治的脑损伤、脑震荡及血管神经性慢性顽固性头痛患者68例。①针灸治疗:68例患者先给针刺人迎穴、水突穴,隔日1次,7次为1个疗程,1个疗程不见明显好转的改用星状神经节阻滞或中药治疗。②星状神经节阻滞:18例患者针灸后采用星状神经节阻滞,7d为1个疗程,两三个疗程不见明显好转的改用中药治疗。③中药治疗:50例患者有脑损伤、脑震荡后顽固性头痛给配合口服1号中药(羚羊粉1g,全蝎10g,当归25g,川芎20g,桃仁12g,红花20g,赤芍25g,丹皮10g,菊花10g,曼荆子10g,甘草5g),有血管神经性顽固性头痛给配合口服2号中药(珍珠粉10g,羚羊粉3g,朱砂0.5g,远志15g,山枣仁10g,石菖蒲20g,百合20g,琥珀15g,当归20g,白芍20g,红花10g,川芎15g,鹿茸10g,红参10g,黄芪25g,茯苓25g,细辛3g,蜈蚣5g,甘草5g),2次/d,10d为1个疗程,两个疗程间隔20d,共6个疗程,三四个疗程不见明显好转的改用星状神经节阻滞。治疗效果及3年复发率评估:①疼痛缓解及疗效评价:使用目测类比评分法,0～2分为“优”;3～4分为“良”;5～6分为“可”;>7分为“差”。②抑郁评估:应用汉密顿抑郁量表,最低0分,最高52分,得分越高说明病情越严重,20分以上者为抑郁状态,经过治疗后降到7分以下为效果满意,正常人为2～5.5分。③比较治疗时间。④比较2.0～3.0年复发率。结果:按实际处理分析,纳入患者68例,均进入结果分析。①目测类比评分结果:治疗后低于治疗前[(2.13±1.28),(7.26±2.61)分,P<0.05]。②抑郁评分结果:治疗后低于治疗前[(2.35±1.21),(33.83±4.11)分,P<0.05]。③治疗时间比较:单纯星状神经阻滞和单纯中药治疗均长于中西医结合治疗
AIM： To observe the effects of purely application of acupuncture and moxibustion at Renying and Shuitu （ST 10） points, adding traditional Chinese medicine No.1 and No.2 taking orally, stellate ganglion block was performed, and combination of the three methods on the therapeutic effect and relapse rate of cerebral trauma, commotion cerebri and obstinate blood vessel nerve headache. METHODS： Sixty-eight patients with cerebral trauma, commotion cerebri and chronical obstinate blood vessel nerve headache were selected from Dalian Central Hospital from September 1992 to December 2004. ①Treatment of acupuncture and moxibustion： Sixty-eight patients was treated with acupuncture at Renying and Shuitu, once every other day, 7 times as a course. Those who did not take a turn for the better after the first course were changed to treat with stellate ganglion block or traditional Chinese medicine. ②The stellate ganglion block： After taking acupuncture and moxibustion, 18 patients were treated with stellate ganglion block, 7 days as a course. Those who did not take a turn for the better after two or three courses were changed to treat with traditional Chinese medicine.③Treatment of traditional Chinese medicine： Fifty patients with cerebral trauma, commotion cerebri and post-obstinate headache were matched with No.1 traditional Chinese medicine taking orally （1 g antelope powder, 10 g scorpion, 25 g Chinese angelica, 20 g Szechwan lovge rhizome, 12 g peach seed, 20 g safflower, 25g red peony root, 10 g paeonol, 10 g chrysanthemum, 10 g shrub chastetree fruit and 5 g liquorice root）. Those who had obstinate nerve headache were treated with the No.2 traditional Chinese medicine taking orally （10 g pearl powder, 3 g antelope powder, 0.5 g cinnabar, 15 g Siberian milkwort root, 10 g spine date seed, 20 g Rhizoma Acoori Graminei, 20 g lily bulb, 15 g amber, 20 g Chinese angelica, 20 g white peony root, 10 g safflower, 15 g Szechwan lovge rhizome, 10 g velvet, 10 g radix ginseng rnbra, 25 g membranous milkve
出处
《中国临床康复》
CSCD
北大核心
2005年第29期43-45,共3页
Chinese Journal of Clinical Rehabilitation
